24 results
Wellens Syndrome on EKG
Associated with a critical stenosis of the proximal LAD, suggestive of impending infarction
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Wellens Syndrome on EKG ... infarction - Present in pain-free ... Terminal T-wave Inversion ... Symmetric T-wave Inversion ... #ecg #cardiology
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
Approach to ECGs ... , LAE, giant T inversion ... epsilon wave, T wave inversion ... Syncope #Syndromes #ECG ... #diagnosis #cardiology
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Sign: LAD-T Wave Inversion ... without chest pain ... Wellens #Sign #EKG ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... = Biomarkers + ECG ... deWinter T waves - starts ... -4 can have no pain ... electrocardiogram #cardiology
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
to distal ulna, pain ... ED Management: Pain ... Wrist #Carpal #Radiology ... #Orthopedics #Sports ... #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
anatomic snuff box, pain ... ED Management: Pain ... Scaphoid #Carpal #Radiology ... #Orthopedics #Sports ... #MSK
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
ANGINA - Angina pain ... Angina pain occurs ... rapidly over a short ... is reflected by ECG ... #Diagnosis #Cardiology
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
dorsal wrist, pain ... ED Management: Pain ... Wrist #Carpal #Radiology ... #Orthopedics #Sports ... #MSK
Freiberg Infraction - MSK Radiology
Imaging Findings:
 • Sclerosis of the 2nd MT head with flattening of
Freiberg Infraction - MSK ... Radiology Imaging ... factors include: Short ... • Pain worsens ... #diagnosis #msk
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
Approach to ECGs ... 500 DANGER - Short ... QT <300-360 ms: ... #Approach #ECG ... electrocardiogram #cardiology